Client Care Specialist Position Available In Miami-Dade, Florida

Client Care Specialist Global Excel Management Miami, FL Job Details Full-time From $20 an hour 12 hours ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Vision insurance Qualifications Spanish Microsoft Excel Customer service English Mid-level Microsoft Office High school diploma or GED Medical billing Customer support 2 years Communication skills Full Job Description This is a hybrid role, our office is located in Brickell.

From:

$20.00 per hour •Hourly rate will take into consideration years of experience in a similar position.•The position exists to ensure that Corporate Client request are overseen, responded to in a timely manner, while either acting as a liaison between the client and operational teams or performing the coordination of services necessary to meet the clients’ needs. The Client Care Specialist are part of the Claims Services team and will work closely with the Claims and Account Management teams as well as with other departments and outside vendors with the goal of obtaining information required by clients or needed as part of our internal processes. Expected Outcomes and Actions 1- Client Care Management (50%) Ensure client requests are handled effectively, efficiently and that activities are coordinated with operational teams, providers, suppliers, or other various sources as required to meet the client’s needs Update and ensure accuracy of documentation, contacts, benefits and eligibility, member information, and all other relevant claim information gathered throughout the claims process Review and assess activities needed in each claim to take appropriate actions, to successfully manage and oversee work assignments e.g. making inbound and outbound calls, emails, and faxes (as applicable) From providers; obtain bills, medical records, itemized statements, statement of accounts, request refunds/reimbursements, etc. and other information that may be required by the client or internally to finalize the processing of a bill. Minor Provider escalation Solve balance billing issues, confirm network participation, dispute, etc. Escalate accordingly Coordination of medical appointments 2- Tools and resources (45%) Triage and validate incoming communications/documents from Corporate Clients, or other various sources, as related to new claim openings or existing claim updates while ensuringdocument integrity and meeting both internal and external service level targets Create new policies and claims within the claims system while performing policy validation. Ensure appropriate system workflows, task remarks and outcomes, contacts, communications, and documents have been created accurately within the claims system. Read and interpret information in our various systems and be able to provide accurate and complete responses to corporate clients, suppliers, providers, or other various sources Obtain and share information, documents, benefits, or approvals needed by the client, internal contacts, providers, or suppliers to support the claim 3. Continuous learning (5%) Become familiar with various international healthcare markets as well as Account Management, Sales, and Operational responsibilities Engage in learning opportunities that arise within the department or Global Excel as related to systems, processes, industry awareness, or as related to general development objectives KSA (Knowledge, Skills and Abilities) Knowledge of healthcare services and medical billing practices Comfort with Microsoft suite of products and adaptable to different tools and technologies Principles and application of excellent customer experience skills Ability to work independently, organize, prioritize, and multitask Resourcefulness and critical decision-making skills Excellent interpersonal skills and professional written and spoken communication Requirements and Qualifications High school or Post-Secondary Education or equivalent Minimum of two years of work experience in customer service and industry Excellent verbal and written communication skills in

English and Spanish Job Type:

Full-time Pay:

From $20.00 per hour

Benefits:

401(k) Dental insurance Flexible spending account Health insurance Paid time off Vision insurance

Compensation Package:

Performance bonus

Schedule:

8 hour shift Day shift Monday to Friday Application Question(s): Are you legally authorized to work in the U.S. on an on-going basis without sponsorship? Please reply yes or no. This is hybrid role. Our office is located in Brickell. Does the Brickell location work for you? Please reply yes or no.

Language:

Spanish (Required)

Work Location:

Hybrid remote in Miami, FL 33131